| Charity Laister, LICSW | |
|
405 Belcher St, Centreville, AL 35042-2946 | |
| (205) 926-2992 | |
| (205) 316-7675 |
| Full Name | Charity Laister |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 405 Belcher St, Centreville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194296343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3779C (Alabama) | Primary |
| Entity Name | Cahaba Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316201809 PECOS PAC ID: 1355597923 Enrollment ID: O20121120000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Charity Laister, LICSW 405 Belcher St, Centreville, AL 35042-2946 Ph: (205) 926-2992 | Charity Laister, LICSW 405 Belcher St, Centreville, AL 35042-2946 Ph: (205) 926-2992 |
Tameka Lavender-hyche, LICSW, PIP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 405 Belcher St, Centreville, AL 35042 Phone: 205-926-2992 Fax: 205-316-7675 | |
Katherine Lee Westberry, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Belcher St, Centreville, AL 35042 Phone: 205-926-2992 Fax: 205-316-7675 | |
Julia Cecile Fibbe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 Pierson Ave, Centreville, AL 35042 Phone: 205-926-4881 | |
Shamari N Grayson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 405 Belcher St, Centreville, AL 35042 Phone: 205-926-2992 |